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亚甲基四氢叶酸还原酶基因多态性 677C>T 与欧洲俄罗斯住院精神分裂症患者的关联研究。

Association study of methylenetetrahydrofolate reductase genetic polymorphism 677C>T with schizophrenia in hospitalized patients in population of European Russia.

机构信息

Russia.

Research Institute of Preventive Medicine, Nizhny Novgorod State Medical Academy, 10/1 Minina and Pozharskogo sq., Nizhny Novgorod, 603005, Russia.

出版信息

Asian J Psychiatr. 2018 Feb;32:29-33. doi: 10.1016/j.ajp.2017.11.027. Epub 2017 Nov 29.

Abstract

The purpose of the research was to investigate the association of methylenetetrahydrofolate reductase (hereinafter MTHFR) genetic polymorphism 677C>T with schizophrenia in the Russian population in comparison with the control group of healthy blood donors. Also some characteristics of schizophrenia were examined in patients with/without defective T-allele of MTHFR677C>T polymorphism. 500 patients with schizophrenia and 499 blood donors were examined for T-allele carriage of polymorphism MTHFR677C>T by PCR method. 150 archival medical records were studied (in the first patients included in the study). The carriage of T-allele of genetic polymorphism MTHFR677C>T was significantly more common in patients than in healthy donors: 255/500 versus 219/499 (p=0,0287, χ2=4,79; OR=1,33, 95%CI [1037; 1707]). The number of patients with chronic type of schizophrenia onset was significantly more among T-allele carriers (n=77) than among normal CC-genotype carriers (n=73): р=0.038. The number of "incapacitated" persons in the group of patients with defective T-allele (n=77) was significantly higher than in patients with normal genotype (n=73, p=0.0439; OR=2.878, 95%CI=1.111-7.456). The results suggest that T-allele of genetic polymorphism MTHFR677C>T in the population of European Russia may increase the risk of developing schizophrenia and its unfavorable prognosis, which requires further investigation.

摘要

研究目的在于调查 5,10-亚甲基四氢叶酸还原酶(以下简称 MTHFR)基因 677C>T 多态性与俄罗斯人群精神分裂症的关联,并与健康献血者对照组进行比较。此外,还研究了 MTHFR677C>T 多态性缺陷 T 等位基因的患者的一些精神分裂症特征。通过聚合酶链反应(PCR)方法,对 500 例精神分裂症患者和 499 名献血者进行 MTHFR677C>T 多态性 T 等位基因携带情况的检测。对 150 份存档病历进行了研究(在纳入研究的第一批患者中)。携带 MTHFR677C>T 遗传多态性 T 等位基因的患者明显多于健康供者:255/500 比 219/499(p=0.0287,χ2=4.79;OR=1.33,95%CI[1037;1707])。携带 T 等位基因的慢性起病型精神分裂症患者(n=77)明显多于正常 CC 基因型携带者(n=73):р=0.038。携带缺陷 T 等位基因的患者(n=77)中“丧失能力”的人数明显高于正常基因型患者(n=73,p=0.0439;OR=2.878,95%CI=1.111-7.456)。这些结果表明,在俄罗斯欧洲人群中,MTHFR677C>T 遗传多态性的 T 等位基因可能会增加发生精神分裂症及其不良预后的风险,这需要进一步研究。

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